Organization
CAMELLE REDDING, CRNP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMELLE STACIAN REDDING CRNP (OWNER)
(443) 829-1530
Entity
Organization
Contact information
Practice address
9902 LINDEN HILL RD STE B, OWINGS MILLS, MD 21117-6152
(443) 776-2583
(347) 851-8731
Mailing address
9902 LINDEN HILL RD, SUITE B, OWINGS MILLS, MD 21117-6152
(443) 829-1530
(410) 581-7722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R133694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326335829
NPI
MD
Enumeration date
10/05/2016
Last updated
02/09/2023
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